Free Printable Monroe County, New York Affidavit & Requirements

GENERAL AFFIDAVIT
State of New York

STATE OF NEW YORK
COUNTY OF [COUNTY]

I, [AFFIANT NAME], being duly sworn, depose and state the following:

AFFIANT INFORMATION:
Name: [FULL LEGAL NAME]
Address: [ADDRESS], NY [ZIP]
Date of Birth: [DOB]

STATEMENT OF FACTS:

1. [STATE FACT 1]

2. [STATE FACT 2]

3. [STATE FACT 3]

4. [STATE FACT 4]

5. [ADDITIONAL FACTS AS NEEDED]

I declare under penalty of perjury under the laws of New York that the foregoing is true and correct to the best of my knowledge and belief.

AFFIANT SIGNATURE: _____________________ DATE: _____
Print Name: _____________________

NOTARY ACKNOWLEDGMENT:
State of New York, County of [COUNTY]

Subscribed and sworn before me this ___ day of _______, 20__.

Notary Public: _____________________
Print Name: _____________________
My Commission Expires: _____
[NOTARY SEAL]